MS. LORI LANDRETH CPNP-PC
NPI 1790196244
Nurse Practitioner - Pediatrics in Salem, IL

Q: What is Lori Landreth's NPI number?

The NPI number for Lori Landreth is 1790196244. It was assigned to this individual provider in the NPPES registry on May 17, 2014.

Q: What is Lori Landreth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Lori Landreth was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 17, 2014

1275 HAWTHORN RD, SALEM, IL 62881(618) 548-4590(618) 548-8275 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2021, Nov 7, 2019, Feb 13, 2017 (3 updates tracked since 2017).

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About Ms. Lori Landreth Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LORI LANDRETH CPNP-PC (NPI 1790196244) is an individual pediatrics provider in Salem, Illinois, licensed in Illinois (209.011381) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1790196244

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. LORI LANDRETHCredential: CPNP-PC

Location Address1275 HAWTHORN RDSalem, IL 62881-1028

Mailing Address1275 Hawthorn RdSalem, IL 62881-1028 · (618) 548-4590 · Fax (618) 548-8275

Phone(618) 548-4590

Fax(618) 548-8275

Sole ProprietorNo

Enumeration DateMay 17, 2014

Last NPPES UpdateMay 17, 20213 updates tracked since enumeration

NPPES CertifiedMay 17, 2021

✔ NPI 1790196244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in IL · 209.011381✔ Licensed in FL · ARNP9382830

1275 HAWTHORN RD, Salem, IL 62881

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Other Identifiers 1

OtherHU297ZFL · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SETH HAHS MD

Internal Medicine